Active NPI
James Carnelia, PH.D.
- Addiction (Substance Use Disorder) Psychologist
- New York, NY
National Provider Identifier
1508987405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- 009994
- Practice address
- 41 E 11TH St FL 4
C-O Washington Square Institute
New York, NY 10003-4602 - Phone
- (212) 472-5974
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 009994 | NY | Primary |
Addresses
Primary practice location
41 E 11TH St FL 4
C-O Washington Square Institute
New York, NY 10003-4602
Mailing address
38 E 81St St
Suite #5-B
New York, NY 10028-0216
Phone (212) 472-5974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1123 Pleasantville Rd
Briarcliff Manor, NY 10510-1603
Phone (914) 236-3636
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009994 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Community Health Centers, Inc. | Current | Accepting new patients | |
| United Cerebral Palsy Associations of New York State, Inc. | Current | Accepting new patients | |
| Metro Community Health Centers, Inc. | Current | Accepting new patients |
Locations
979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1841536554
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1649837113
-
- Clinic/Center
- Bronx, NY
- NPI 1366507758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508987405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 E 81ST ST",
"address_2": "SUITE #5-B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280216",
"telephone_number": "212-472-5974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 E 11TH ST FL 4",
"address_2": "C-O WASHINGTON SQUARE INSTITUTE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034602",
"telephone_number": "212-472-5974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNELIA",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "009994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.